Brunner & Suddarth's Textbook of Medical-Surgical
Nursing 15th Edition, By Dr. Janice L Hinkle, Kerry H.
Cheever And Kristen Overbaugh| All Chapters|
Original| Verified| Rated A+| Test Bank
, TABLE OF CONTENTS
Unit 1: principles of nursing practice
Chapter 1: professional nursing practice
Chapter 2: medical-surgical nursing
Chapter 3: health education and health promotion
Chapter 4: adult health and physical, nutritional, and cultural assessment
Chapter 5: stress and inflammatory responses
Chapter 6: genetics and genomics in nursing
Chapter 7: disability and chronic illness
Chapter 8: management of the older adult patient
Unit 2: concepts and principles of patient management
Chapter 9: pain management
Chapter 10: fluid and electrolytes
Chapter 11: shock, sepsis, and multiple organ dysfunction syn - drome
Chapter 12: management of patients with oncologic diso rders
Chapter 13: palliative and end-of-life care
Unit 3: perioperative concepts and nursing management
Chapter 14: preoperative nursing management
Chapter 15: intraoperative nursing management
Chapter 16: postoperative nursing management
Unit 4: gas exchange and respiratory function
Chapter 17: assessment of respiratory function
Chapter 18: management of patients with upper respiratory tract disorders
Chapter 19: management of patients with chest and lower r es- piratory tract
disorders
Chapter 20: management of patients with chronic pulmonary disease
Unit 5: cardiovascular and circulatory function
Chapter 21: assessment of cardiovascular function
Chapter 22: management of patients with arrhythmias and con - duction
problems
Chapter 23: management of patients with coronary vascular disorders
,Chapter 24: management of patients with structural, in fectious, and
inflammatory cardiac disorders
Chapter 25: management of patients with complications from heart disease
Chapter 26: assessment and management of patients with vascu - lar
disorders and problems of peripheral circulation
Chapter 27: assessment and management of patients with hypertension
Unit 6: hematologic function
Chapter 28: assessment of hematologic function and treatment modalities
Chapter 29: management of patients with non -malignant hematologic
disorders
Chapter 30: management of patients with hematologic neoplasms
Unit 7: immunologic function
Chapter 31: assessment of immune function
Chapter 32: management of patients with immune deficiency disorders
Chapter 33: assessment and management of patients with allergic disorders
Chapter 34: assessment and management of patients with inflammatory
rheumatic disorders
Unit 8: musculoskeletal function
Chapter 35: assessment of musculoskeletal function
Chapter 36: management of patients with musculoskeletal disorders
Chapter 37: management of patients with musculoskeletal trauma
Unit 9: digestive and gastrointestinal function
Chapter 38: assessment of digestive and gastrointestinal function
Chapter 39: management of patients with oral and oesophageal disorders
Chapter 40: management of patients with gastric and duodenal disorders
Chapter 41: management of patients with intestinal and rectal disorders
Unit 10: metabolic and endocrine function
Chapter 42: assessment and management of patients with obesity
Chapter 43: assessment and management of patients with hepatic disorder
Chapter 44: management of patients with biliary disorders
,Chapter 45: assessment and management of patients with endocrine
disorders
Chapter 46: management of patients with diabetes
Unit 11: kidney and urinary tract function
Chapter 47: assessment of kidney and urinary function
Chapter 48: management of patients with kidney disorders
Chapter 49: management of patients with urinary disorders
Unit 12: reproductive function
Chapter 50: assessment and management of patients with female physiologic
processes
Chapter 51: management of patients with female repro ductive disorders
Chapter 52: assessment and management of patients with breast disorders
Chapter 53: assessment and management of patients with male reproductive
disorders
Chapter 54: assessment and management of patients who are LGBTQ
Unit 13: integumentary function
Chapter 55: assessment of integumentary function
Chapter 56: management of patients with dermatologic disorders
Chapter 57: management of patients with burn injury
Unit 14: sensory function
Chapter 58: assessment and management of patients with eye and vision
disorders
Chapter 59: assessment and management of patients with hear ing and
balance disorders
Unit 15: neurologic function
Chapter 60: assessment of neurologic function
Chapter 61: management of patients with neurologic dysfunction
Chapter 62: management of patients with cerebrovascular dis - orders
Chapter 63: management of patients with neurologic trauma
Chapter 64: management of patients with neurologic infections, autoimmune
disorders, and neuropathies
,Chapter 65: management of patients with oncologic or degenerative
neurologic disorders
Unit 16: acute community-based challenges
Chapter 66: management of patients with infectious diseases
Chapter 67: emergency nursing
Chapter 68: disaster nursing
,Unit 1: principles of nursing practice
Chapter 1: professional nursing practice
Hinkle: brunner & suddarth's textbook of medical -surgical nursing, 15th edition; test bank
Multiple choice
1. A nurse has been offered a position on an obstetric unit and has
learned that the unit offers therapeutic abortions, a procedure that
contradicts the nurse's personal beliefs. What is the nurse's ethical
obligation to these clients?
A. The nurse should adhere to professional standards of practice and
offer service to these clients.
B. The nurse should make the choice to decline this position and
pursue a different nursing role.
C. The nurse should decline to care for the client’s considering
abortion.
D. The nurse should express alternatives to women considering
terminating their pregnancy.
Answer: b
Rationale: to avoid facing the ethical dilemma of providing care that
contradicts the nurse’s personal beliefs, the nurse should consider
working in an area of nursing that would not pose this dilemma. The
nurse should not provide care to the client because it is a conflict of
personal values. The nurse should not deny care to these cl ients as this
would be a breach in the code of ethics for nurses. If the client is not
requesting information for alternatives to abortions, then the nurse
should not be providing this information.
Pts: 1 ref: p. 27
Nat: client needs: safe, effective care environment: management of care
Top: chapter 1: professional nursing practice key: integrated process:
caring blm: cognitive level: apply
2. An 80-year-old client is admitted with a diagnosis of community -
acquired pneumonia. During admission the client states, "i have a
living will." what implication of this should the nurse recognize?
A. This document is always honored, regardless of circumstances.
,B. This document specifies the client's wishes before hospitalization.
C. This document is binding for the durati on of the client's life.
D. This document has been drawn up by the client's family to
determine dnr status.
Answer: b
Rationale: a living will is one type of advance directive. In most
situations, living wills are limited to situations in which the clien t's
medical condition is deemed terminal. The other answers are incorrect
because living wills are not always honored in every circumstance, they
are not binding for the duration of the client's life, and they are not
drawn up by the client's family.
Pts: 1 ref: p. 29
Nat: client needs: safe, effective care environment: management of care
top: chapter 1: professional nursing practice
Key: integrated process: communication and documentation
Blm: cognitive level: analyze not: multiple choice
3. A nurse has been providing ethical care for many years and is aware
of the need to maintain the ethical principle of nonmaleficence. Which
of the following actions would be considered a violation of this
principle?
A. Discussing a dnr order with a terminally ill client
B. Assisting a semi-independent client with adls
C. Refusing to administer pain medication as prescribed
D. Providing more care for one client than for another
Answer: c
Rationale: the duty not to inflict as well as prevent and remove harm is
termed nonmaleficence. Discussing a dnr order with a terminally ill
client and assisting a client with adls would not be considered
contradictions to the nurse's duty of nonmaleficence. Some clients
justifiably require more care than others.
Pts: 1 ref: p. 25
Nat: client needs: safe, effective care environment: management of care
top: chapter 1: professional nursing practice
Key: integrated process: nursing process
Blm: cognitive level: analyze not: multiple choice
,4. A nurse has begun creating a client's plan of care short ly after the
client's admission. The nurse knows that it is important that the
wording of the chosen nursing diagnoses falls within the taxonomy of
nursing. Which organization is responsible for developing the taxonomy
of a nursing diagnosis?
A. American nurses association (ana)
B. North american nursing diagnosis association (nanda)
C. National league for nursing (nln)
D. Joint commission
Answer: b
Rationale: nanda international is the official organization responsible
for developing the taxonomy of nursing diagnoses and formulating
nursing diagnoses acceptable for study. The ana, nln, and joint
commission are not charged with the task of developing the taxonomy
of nursing diagnoses.
Pts: 1 ref: p. 15
Nat: client needs: safe, effective care environment: mana gement of care
top: chapter 1: professional nursing practice
Key: integrated process: nursing process
Blm: cognitive level: understand not: multiple choice
5. A medical nurse has obtained a new client's health history and has
completed the admission assessme nt. The nurse followed this by
documenting the results and creating a care plan for the client. Which
of the following is the most important rationale for documenting the
client's care?
A. It provides continuity of care.
B. It creates a teaching log for the family.
C. It verifies appropriate staffing levels.
D. It keeps the client fully informed.
Answer: a
Rationale: this record provides a means of communication among
members of the health care team and facilitates coordinated planning
and continuity of care. It serves as the legal and business record for a
health care agency and for the professional staff members who are
responsible for the client's care. Documentation is not primarily a
teaching log; it does not verify staffing; and it is not intended to
provide the client with information about treatments.
,Pts: 1 ref: p. 14
Nat: client needs: safe, effective care environment: management of care
top: chapter 1: professional nursing practice
Key: integrated process: communication and documentation
Blm: cognitive level: understand not: multiple choice
6. The nurse has been assigned to care for a client admitted with an
opportunistic infection secondary to aids. The nurse informs the
clinical nurse leader that the nurse refuses to care for a client with
aids. The nurse has an obligation to this client under which of the
following?
A. Good samaritan act
B. Nursing interventions classification (nic)
C. The nurse practice act in the nurse's jurisdiction
D. International council of nurses (icn) code of ethics for nurses
Answer: d
Rationale: the ethical obligation to care for all clients is included in the
code of ethics for nurses. The good samaritan act relates to lay people
helping others in need. The nic is a standardized classification of
nursing treatment that includes independent and collaborative
interventions. Nurse practice acts primarily address scope of practice.
Pts: 1 ref: p. 27
Nat: client needs: safe, effective care environment: management of care
top: chapter 1: professional nursing practice
Key: integrated process: nursing process
Blm: cognitive level: understand not: multiple choice
7. The nurse, in collaboration with the client's family, is determining
priorities related to the care of the client. The nurse explains that it is
important to consider the urgency of specific problems when setting
priorities. What should the nurse adopt as the best framework for
prioritizing client problems?
A. Availability of hospital resources
B. Family member statements
C. Maslow hierarchy of needs
D. The nurse's skill set
Answer: c
Rationale: the maslow hierarchy of needs provides a useful framework
for prioritizing problems, with the first level given to meeting physical
, needs of the client. Availability of hospital resources, family member
statements, and nursing skill do not provide a framework for
prioritization of client problems, though each may be considered.
Pts: 1 ref: p. 6
Nat: client needs: safe, effective care environment: management of care
top: chapter 1: professional nursing practice
Key: integrated process: nursing process
Blm: cognitive level: apply not: multiple choice
8. A medical nurse is caring for a client who is receiving palliative care
following cancer metastasis. The nurse is aware of the need to uphold
the ethical principle of beneficence. How can the nurse best exemplify
this principle in the care of this client?
A. The nurse tactfully regulates the number and timing of visitors as
per the client's wishes.
B. The nurse stays with the client during their death.
C. The nurse ensures that all members of the care team are aware of
the client's dnr order.
D. The nurse collaborates with members of the care team to ensure
continuity of care.
Answer: a
Rationale: beneficence is the duty to do good and the active promotion
of benevolent acts. Enacting the client's wishes regarding visitors is an
example of this. Each of the other nursing actions is consistent with
ethical practice, but none directly exemplifies the principle of
beneficence.
Pts: 1 ref: p. 25
Nat: client needs: safe, effective care environment: man agement of care
Top: chapter 1: professional nursing practice key: integrated process:
caring blm: cognitive level: apply not: multiple choice
9. In the process of planning a client's care, the nurse has identified a
nursing diagnosis of ineffective health m aintenance related to alcohol
use. What must precede the determination of this nursing diagnosis?
A. Establishing of a plan to address the underlying problem
B. Assigning a positive value to each consequence of the diagnosis
C. Collecting and analyzing data that corroborate the diagnosis
D. Evaluating the client's chances of recovery
